| NPI | 1467880138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006584) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07271) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |